From: Current understanding of adipose-derived mesenchymal stem cell-based therapies in liver diseases
Dose | Route | Pretreatment | IR method | Animal | Effect | Mechanism | Ref. |
---|---|---|---|---|---|---|---|
2 × 106 | Tail vein | N/A | Liver transplantation | Rat | Decrease the apoptosis of hepatocytes; decrease the levels of ALT, AST, and TBIL; maintain the tissue structure | Decrease the expression of IL-2 and IL-10 | [90] |
1 × 105 | Jugular vein | N/A | 70% partial hepatectomy | Mice | Liver regeneration | Integration of ADMSCs into the liver | [86] |
1-2 × 106 | Tail vein | Before ischemia | 70% partial hepatectomy | Mice | Improve histopathological changes; decrease serum levels of hepatocyte markers | Enhance hepatocyte proliferation | [91] |
4 × 106 | Liver lobe | N/A | Bulldog clamp for 90 min and clamp removal | Rats | Decrease necrotic areas and improve liver function | Suppress the proinflammatory cytokines IL-6, IL-21, and CD70; activate the NOTCH Pathway | [92] |
2 × 106 | Portal vein | N/A | Repeated partial hepatectomy | Rats | Increase body weight ratio; improve liver function; improve PCNA-labeling index | Upregulate expression of HGF | [84] |
1 × 106/kg | Liver parenchyma | N/A | Partial hepatectomy | Pigs | Reduce pathological and ultrastructural changes and decrease the number of apoptosis-positive cells | Downregulate the expression of Fas, Fas ligand, caspase-3, caspase-8, and caspase-9; upregulate of the ratio of Bcl-2/Bax | [93] |
Decrease the serum levels of ALT, AST, TBIL, and LDH | Upregulate the expression of SOD; suppress the expression of MPO and MDA; suppress autophagy | [94] | |||||
1.2 × 106 | Liver lobe | N/A | Occlude the vascular supply of the left lobe of the liver for 60 m followed by reperfusion for 72 h | Rats | Reduce plasma aminotransferases; promote liver regeneration | Suppress cellular activation; reduce proinflammatory cytokine release; alleviate oxidative stress; preserve hepatic microcirculation; decrease apoptosis | [95] |
2 × 106 | Intravenous | Overexpression of MiR-27b | PH | Rats | Enhance liver regeneration and preserve hepatic function | Downregulate the expression of inflammatory cytokines; upregulate the expression of HGF, HO-1, and mitochondrial biogenesis in a PGC-1α-dependent manner | [85] |
1–2 × 106 | Tail vein | Before CCl4 | CCl4 | Mice | Decrease levels of ALT and serum IL-6; increase the expression of regeneration markers and PCNA; improve histopathology; improve survival rate | Inhibit inflammation and liver necrosis | [97] |
4 × 107 cells/kg | Spleen | Spheroid | CCl4 | Mice | Increase liver regeneration | Inhibit hepatocyte necrosis | [98] |
1 × 106 | Liver lobe | RSF | CCl4 | Mice | Increase the survival rate of ALF animals | Upregulate angiogenesis and hepatogenic differentiation | [99] |
1.0 × 106 | Intravenously | N/A | Con A | Mice | Increase the survival rate of ConA-induced fulminant hepatitis mice; decrease liver enzyme levels; improve histopathological changes | Suppress inflammatory cytokines | [100] |
1 × 105 | Tail vein | N/A | Con A | Mice | Liver histology showed an almost normal appearance, with no necrosis | Repress inflammatory cell accumulation | [101] |
1.0 × 106 | Tail vein | N/A | Con A | Mice | Decrease liver enzyme levels; improve histopathological changes | Decrease inflammation related to IL-6, IL-10, IFN-γ, and TNF-α | [102] |
2 × 106 | Tail vein | LPA and/or S1P | Gal/LPS | Mice | Enhance survival rate of Gal/LPS-induced ALF mice; ameliorate histological damage; | Reduce oxidative stress, inflammation and lipid metabolism dysfunction | [103] |
2 × 106 | Tail vein | ZD | Gal/LPS | Mice | Improve liver function of ALF model; exert no adverse effects on healthy animals | Activation of the PKC/Raf-1/MAPK/NF-κB pathway; upregulate microRNA-210 | [104] |
1.0 × 106 | Tail vein | N/A | CCl4 | Mice | Reduce serum levels of glutamic pyruvate transaminase and TBIL; reduce hepatocyte vacuolar degeneration; decrease serum transaminase levels; inhibit liver fibrogenesis | Increase MMP-3 and MMP-9 levels | [105] |
1.0 × 106 | Liver lobe | N/A | Thioacetamide | Rats | Eliminate liver fibrosis | Hepatic differentiation; reduce inflammation and inhibit HSC activation | [106] |
5 × 106 | Portal vein | N/A | CCl4 | Rats | Reduce the fibrotic area; reduce the expression of collagen I and a-SMA in the liver; reduce hydroxyproline level in the live; reduce collagen III and hyaluronic acid levels; inhibit liver fibrogenesis | Inhibit the proliferation and activation of HSCs; enhance HSC apoptosis; increase HGF level; decrease levels of NGF and TGF-b1 | [107] |
3 × 105/kg and 6.6 × 105/kg | Hepatic artery | N/A | Cirrhosis | Patients | Improve liver function | Increase serum HGF and IL-6 concentrations | [108] |
5 × 106 | Caudal vein | Splenectomy | CCl4 | Rats | Improve liver function; reduce levels of α-SMA and TGF-β; suppress liver fibrosis | Upregulate the levels of stromal cell-derived factor 1 and HGF; enhance the migration of ADMSCs into injured sites; promotes HSC apoptosis | [109] |
1.5 × 106 | Intrahepatic | Serum from acute CCl4 injury rat | CCl4 | Rats | Improve liver functions; reduce liver fibrosis | Increase the homing of ADMSCs | [110] |
1.5 × 106 | Tail vein | Overexpression of FGF21 | Thioacetamide | Mice | Decrease serum hyaluronic acid; reduce serum ALT, AST, and hyaluronic acid levels; reduce expression of fibrosis-related factors such as α-SMA, collagen and TIMP-1; | Inhibition of p-JNK, NF-κB, and p-Smad2/3 signaling and secretion of LA and LTF | [111] |
1 × 105 | Tail vein | Overexpression of MiR-122 | CCl4 | Mice | Decrease serum levels of ALT, AST, and liver hydroxyproline content; reduce mature Col1A1 protein level | Suppress the proliferation of and collagen maturation in HSCs; decrease the expression levels of TGF-β1 and α-SMA in the liver | [112] |